These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Posttraumatic cholothorax in a child: case report and review of the literature.
    Author: Waelbers A, Duval EL, Vervloessem D.
    Journal: Pediatr Crit Care Med; 2005 May; 6(3):355-8. PubMed ID: 15857539.
    Abstract:
    OBJECTIVE: Thoracobiliary fistula, subsequent to a combined thoracic and hepatic blunt trauma, is a rare complication, which calls for a high index of suspicion during diagnostic workup. Due to its uncommon nature, especially in children, and hence the paucity of reports in literature, no consensus has been reached on its optimal management. PATIENTS AND METHODS: We report on a 4-yr-old girl, who developed a cholothorax after a blunt thoracoabdominal trauma. She was successfully treated through conservative management with drainage, antibiotics, and a low-fat diet. The cases previously described in the English literature are reviewed, and management is discussed. CONCLUSION: The recent tendency to observe rather than explore abdominal trauma and the absence of a definitive diagnostic test for diaphragmatic injury may contribute to a delayed diagnosis of the components that may result in the development of a fistula. Literature review substantiates endoscopic retrograde cholangiopancreatography as the imaging modality of choice, because it has the potential of therapeutic intervention by sphincterotomy or stent placement. A nonoperative approach was successful in this case.
    [Abstract] [Full Text] [Related] [New Search]